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Fig. 4 —55-year-old man with cirrhosis, ascites, and elevated bilirubin level. Coronal T2-weighted single-shot fast spin-echo image through mid abdomen at 3 T with dielectric pad. Despite signal loss over center of liver secondary to dielectric effect, common duct (arrow) is clearly seen to ampulla. Duct is normal caliber. No obstructing mass or stone is present. This patient did not have biliary obstruction as a cause of increased bilirubin. In some patients, diagnosis is still made despite dielectric artifact. This patient should have been scanned on 1.5-T scanner.